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Arch Phys Med Rehabil. 2016 May;97(5):772-80. doi: 10.1016/j.apmr.2016.01.011. Epub 2016 Feb 1.

Sex-Specific Predictors of Inpatient Rehabilitation Outcomes After Traumatic Brain Injury.

Author information

1
Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada; Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada. Electronic address: vincy.chan@uhn.ca.
2
Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada; Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
3
Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX.

Abstract

OBJECTIVE:

To identify sex-specific predictors of inpatient rehabilitation outcomes among patients with a traumatic brain injury (TBI) from a population-based perspective.

DESIGN:

Retrospective cohort study.

SETTING:

Inpatient rehabilitation.

PARTICIPANTS:

Patients in inpatient rehabilitation for a TBI within 1 year of acute care discharge between 2008/2009 and 2011/2012 (N=1730, 70% men, 30% women).

INTERVENTIONS:

None.

MAIN OUTCOME MEASURES:

Inpatient rehabilitation length of stay, total FIM score, and motor and cognitive FIM ratings at discharge.

RESULTS:

Sex, as a covariate in multivariable linear regression models, was not a significant predictor of rehabilitation outcomes. Although many of the predictors examined were similar across men and women, sex-specific multivariable models identified some predictors of rehabilitation outcome that are specific for men and women; mechanism of injury (P<.0001) was a significant predictor of functional outcome only among women, whereas comorbidities (P<.0001) was a significant predictor for men only.

CONCLUSIONS:

Predictors of outcomes after inpatient rehabilitation differed by sex, providing evidence for a sex-specific approach in planning and resource allocation for inpatient rehabilitation services for patients with TBI.

KEYWORDS:

Brain injuries; International Classification of Diseases; Rehabilitation

PMID:
26836952
PMCID:
PMC4844779
DOI:
10.1016/j.apmr.2016.01.011
[Indexed for MEDLINE]
Free PMC Article

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